title: The maneuver to release an incarcerated obturator hernia.
abstract: An obturator hernia occurs through the pelvic obturator canal, a rigid ring made up of the underside of the superior pubic ramus and the obturator fascia. Obturator hernias have been associated with a high mortality due to the difficulty in diagnosis and the population in which it occurs. We examined four patients diagnosed with incarcerated obturator hernia, and showed that the strangulated intestine was not necrotic. We flexed the diseased leg calmly and repeatedly with slight rotation toward the outside and slight adduction toward the inside at supine position. The pain vanished suddenly during this maneuver. After this maneuver, the patients were able to undergo elective surgery after a certain interval. We discuss the possible use of this maneuver to release an incarcerated obturator hernia.
authors.affiliation: Department of Surgery, Zeze Hospital, Oita, Japan.
authors.forename: Y
authors.initials: Y
authors.lastname: Shigemitsu
authors.forename: T
authors.initials: T
authors.lastname: Akagi
authors.forename: A
authors.initials: A
authors.lastname: Morimoto
authors.forename: T
authors.initials: T
authors.lastname: Ishio
authors.forename: N
authors.initials: N
authors.lastname: Shiraishi
authors.forename: S
authors.initials: S
authors.lastname: Kitano
mesh_terms: D000368:Aged; D005260:Female; D006553:Hernia, Obturator / Q000150:complications / Q000601:surgery / Q000628:therapy*; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology*; D007421:Intestine, Small; D009126:Muscle Relaxation; D018482:Muscle, Skeletal; D026201:Musculoskeletal Manipulations